Treatment-table



y l. McIVlANlS.

TREATMENT TABLE.

APPLlcAnoN man JUNE 27. |917.

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APPLICATION FILED JUNE27, 1917.

E Patente A110. Sig-1920.

3 SHEETS-SHEET 2.

Witnesses W Patented Aug. 31, 1920.

a SHEETS-SHEET 3.

J. V. MLMANIS.

TREATMENT TABLE.

APPLIcAnoN FILED 1uNE27, 1917.

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Clue/mm1 Wbb/woo treatment tables, one of its objeotss .to prosiren-)sr JOHN v. MeMANis, or'. firrnisvILLE; 1viI`ssoURI'..-1 l `v i issiase.

To all whom t may concern: y f 'i Be it knoivn that LJOHN'V. MoMA'NIs'a citizen of" the United States, "r'esidii'ig at lirlrsville, in the county ofidair and 'State of Missouri, have invented certain new andf Auseful improvements in vrllreatii'ie nt-lables, of which the olloi'ving'is a speciiication.

vide an improved treatment tablehavinga' plurality of oscillatable tabletop," sections, another object is tofprovide improved. lock,- ing mechanism to loc-k1A the top sections ii'il any one of a variety ofpositions.Another i object sfto provide., improved means Vto resiliently support the oscillat'able sections."

inother object is toV provide mechanism tof-1y 'take up lost motion and provide4 Aagainst undesirable vibrations. V'Another object is to' provide against the vibrationandfsvvav, ing movement of movable parts carried-'by the o scillatableV top sections. Anotherobject is to provide improved adjustable means to secure a patient in' position on the table top. v l

My invention also comprises certain desy tailsoform combination and arrangement,

description of the accompanying drawings, inivhich; -Y ff `Figure l is a plan v ieyvAo a4 treatment y table embodyingV my invention. 'y Fig. 2 is aside elevation of the same;

Fig. 3 is a view-similarto vFig. l With theiv `Fig. 4 is an enlarged bottom plano the divided oscillatable top section detachedv from its supporting means.

V F ig. '5 is asectional detail of Ameans 'to prevent displacement 'of the adjustingV sc'revv A due to the oscillatory movement of the' top section. y

Fie 6 is a @emmene e 10a. as

cillatable top sections laterally to anydesii'ed position.

Fig. 7 is a bottom plan view the oppof"` site oscillatable top section. Y p

Fig. Sis a sectional detail online ve--o of Fig?` Fig. 9 is a sectional detail on linee-e of p Fig. 7. i

Fig. 10 is a perspective View of a portion` of one 'of' the locking members illustrati'nf, fmeans to talkeup lost IflOtlon therein. l

'Fig.' `ii istV .bottom pian view fft'h C95;- tal topsectiondetached/ i -llie accompanyingLdrayvingsf'represent the preferred" embodimentso'f myV invention i.

iii-Which fr represents `the base,'B a hydrau-- flicf "pliingenVV or 'pedestal teles'copically p mountedin a vertical cylinder in thebase My invention relates to improvements in"A i andvertically adjustable relative tothe base means of pump mechanismgactuated by a A j vhandlever"C andV operable to pump allqilid froinya chamber inthe pedestal into tl`ie` o'yl-"v inder beloyv'the pedestal toelevatethe table-v t0n-end also at. @ether Position 'Tof 'the handle C to liele'as `a allotvthe "liquid 'tov return to its storage chamber, thereby vlowerill'g the pedestal.

ic'oiiar" Dif is naar over tief lip-per nd of the base' and fasetscrevvQ carried thereby bears against 'a'shoe 3 engaging the face'oi"- the pedestal, softliat when the screw :21s

tightened' thefshoe I is forced lz iga'inst the( pedestal "andV the .collar Where itY llits over the 'base 'isl also lojckedto thebas'e., thereby yhacking Athe pedestal--V andA base'ftogether against vertic'alonrotary movement. When screvv 2 is released the pedestal -i's a'djiistable' vertically fand also rotatably relative to the i all of lWhich Will be fully set orthfin theb y f 1 *A tfits-upper end'fthepedestalis provided ilse.

d oWnWardly'- proj Aecting tubiilar :proj ecti'ons 4 and 5, lWhich' serve asjournals` forvertical axles 6 and Tuponf Which'tlie 'respective'os` cillatable 'top' sections 1F. Vand H are siipg ported and oscillatable Vin-substantially 'hori" Zontalpl'ane's relative to the' pedestal. Atl

the upper end o-"tlie 'axle G fis a headf'S rigidly'` mounted upon thef'aXle and 'provided' f With a locking segment'lf), see Fig." 6, at one,

side ears lOa't the opposite' f' side, *Y

a central lcross ari'nfll. l A supporting frame sis- 5 12 is Q `pivotally attached 'byf a Vhorizontal airle' l14k tothe" earsf'r'lO, and said frame""12.inti`i`rny f servesasia support iip'on Whichthe top Seel .Y i

`tion is supportedv sojl as "tobe oscillatable Y relativetofframe 12 upon a horizontal axle" 16, and also 'adjustablelongitudinally,alongf f journals117for shaft andthe cross bars 18and` 19"., Mounted to slidelendvvisebriithei Ways 12.,are crossl bars 20 'andl 21 vin periferia# tions 'in vvliichtlieflongitudinall airleflt :is 1

'tached to the top section V-F and are provided lwith bearings for the vends ofthe axle; 16, and feed screw thereby providing for see Vv'Figi 8, to whichtensioning springs 28 ai'e each; attached at one end. At the-opposite ends'sp'rings 28 are attached to eye-bolts 291passiiigTV through lugs projecting from the cross bar 21 yand the desired tension applied by adjusting the nuts 30. Stops 31 on cross i bar 21 positively limit the movement of the j projection 27, Abut the springs 28' normallv serve to hold the top section ina horizontal position and to resiliently limit its movement and return it to position when deflected therefrom. y

In order to' positivelyu lock the top section! F against movement upon the axle 16y I pro-' vide lugs -32 von the cross bar 20 and metal shoes 35 on the underface of the top section.

' Allocking member 33V slidable endwise on tlie axle A16 by means of a hand lever 34,

is provided with projecting arms 36 to be interposed with a close it between the faces of the respective lugs 32 and the respective shoesY to positively and rigidly lock the topV section againstrotation on the axle 16 relative to frame 12. In order to adjust the arms136 to accurately engage between the lugsv 32 and'shoes 35 to prevent lost motion and consequent objectional vibration and also to compensate for wear at these points I preferably split the arms 36, see Fig. 10, for a portion of their length and provide a tapered screw 37 ,orother equivalent means toA vaccurately adjust the dimensions of the arms 36 from time to Atime as may be required. Y Y j vIn order to resiliently tension the movement of the tabletop section F upon its axle 6 I provide springs 38`and 39 each attached atone end to one end of the cross-bar 11.

The opposite `ends of said springs are at-, ltached to .eye-bolts 40 passing through lugs 41 projecting ffromtlie head E and to which eye-bolts and springs tension isapplied by means of nuts42. The effect of the springs 38j and 39is to normally and resiliently hold theitop section F in an intermediate position and toretuin it to such position a-fter'havingbeen deiiected therefrom. Said'springs also tend to counterbalancethe overhanging weightY of .thetop section onk the ax-le`6 and to .prevent crampingof saidfaxlefin its bearings. from such cause.

Inorder to lock the top ysectionF'lto lany usted position upon its; axle 6, I provide a pair'of brake shoes 43A and 44 which restl upon the head E andare guided by a raised rib 45 thereof.

An operating shaft 46 is f "journaled at 47 to the head E and provided i 4S`enables the shaft 46 lto be conveniently turned to lock the brake shoes upon the pleriphery of the segment 9 to hold the top section and its axle 6 rigidly in any desired position. i

yIn order to resiliently support the Ytop section F relative to its axleV 14 I 'provide a slotted `frame 49V which is pivotally connected to the lower end Vof the axle 6. One or Ymore springs 56 are attached at one end tothe head 8, preferably by looping them at one end over the axle 14. At the opposite endsprings 50 are attached to a carriage 51 movable along the frame '49 by means of a screw rod actuated by means of cran'k'arm 52, whereby the tension tend-V ing tollift theframe" 49 may be varied dependingv upon the posit-ion of the carriage 51.

The upward thrust 'of frame 49 is transmit-1 ted to the cross bar 19 of the frame 12 Vby means of a tubular member 53 pivoted at one .with right'A and left hand threads to engage end to frame 49; an eye-bolt 54 pi-votally attached tothe cross-bar 19V and telesoopical'ly connected to the member 53; and a nut v54 threaded to the shank of the eye-bolt and resting upon the end of member 53. The top section F is thus. resiliently supported. relative to its axle 14 iii a substantially horizontal position, and the tension of springs 50`may be varied tosupport the weight of different patients thereon. In order to lock the top section F in a substantially rigid position relativeY to movement upon its axle 14 I provide a locking bar 55 pivoted at one end to a V collar rigid on the frame 12, and slotted at t'he opposite end and adapted to be locked by a clamping' theend of the tubular member 53. f

-The feed screw 25 is threaded into th cross bar 18 of frame 12 so that rotation of said screw causes the top section F toy travel for a limited distance endwise on the frame 12. This endwise movement provides for applying tension to the spinal column' of a patient. A Ybar 56 pivotally attached at its center to the under faceiof top section F provided with sockets at opposite ends linto which detachable clips 57 are inserted` to provide for. attaching' the ankles of a1 pas frame 61-by reason. of the stops 65'and 67,-

and the dead center positions of crank tient by ankle cuffs to said clips, andas the Vtop section-F sways horizontally the bar 56.v is free to turn upon its pivot and evenly ad just the strain upon the ankles of the patient. ln order to prevent displacement or a swaying movement of the crank arm 26 and screw 25 l preferably provide a spring actu- 5' ated plunger 58, see Fig. 5, to bear upon the screw shaft 25, the tension on said plunger being adjusta-ble by means of a` screw 60 bearing upon the spring 59, `to force it against the plunger 5S.

The top section H is pivotally and resilientiy supported 'relative to the pedestal as .f heretofore Y A Vand identified with like reference letters eX- described for the top section l?,

cept that the cross bars 22', 23l and 2li corresponding to the cross `bars 22, 23, andv24. are not attached directlyto the top sectionv H but are attached to a rectangular metalframe 6l upon Which-in turn the separate and separable segments 62 and 63 compos,` ing theutop section fl are adjustabl'y frame6lin one direction by contactingv therewith, and the stop members 67 contact with frame 61 to limit the movement inthe opposite direction .A crank shaft 68 is l journaled -in a Vbracket"'attached to frame 6l", and is pivotally connected to one end of n eachof the links 69 and 70; The opposite ends of the links yare pivotally connected to the blocks 7l and '72 attached`v respectively to the segments 62 and 63. LA half rota-` tion of the'crank shaft 68` shifts-the centers on'which' the links are pivoted to the crank shaft 68 from one point of dead center -to theaotherand moves the segments `62 and 63 to and from veach other,.lockingthemat.

each extremity of their movement to the shaft 66.

Thefeed screwv2-5v of top section yH has.

j a knurled'head 26 instead of a crank 26.

Sockets 73 are attached ,to frame V61 to de!V tachably support arbracik'et 74 to `whicha flexible harness about the neck of apatient maybe attached in applying straintothe The rotary movement of the top` spine. section onitg vertical-f aXle 7 vis 4stopped at any desired-position of top section H by means of brake shoes in pairs-engaging a segment 9'A carried by the head 8 attached to theaXle'7. yThe ltop sectionH is resil! Y iently tensioned relativeto movement upon the axle-7 by meansfof springs 38 and 89.

65 asvdescribedforthe top section F,

'claim is`` y j Y, T l. A treatment table'vfcomprising a basa-ga.

The intermediate top sectionGr4 is-.sup

ported relative to the head E by means ofv a.V shaft 7,6 rotatably mounted injournals" on thehead E, see Eig. il, and al `shaft 77 if; I

journaled to brackets on the underA face lof section G. The two shafts are connected togetherrby meansoflinks 78andv are" each provided with an lopenating lever.: The. shaft '76 has rigidly `attached thereto cams 79 which servetoengage and raiseor lower one endl of top section G als may be desired.y

4 rEhe-shaft 77 is provided with similarcams 8O to engage shoes on the vhead E andfto thereby raiseor lowerthe opposite end of j Y.

section G, thesection `is thus capable of* being adjusted te four different positions;V n

Y rJlhe combinationjoftwo` pivotally andere? siliently" supported top sections enables. diffV ferent Aportions of the patient to "beeXercised and different movements ,employed4 without changing hisposition'on the table as each section may be locked entirelyor partially against movement and 'the `remaining movements employed. Also either vsectionfmay be locked :laterally out fof the medialor normal vposition; 1Whenvthe al1- .kles of the patient aresecured to the clips j 57 :and the top vsection F oscillated laterally j the pivotal 'movement .ofv member 56pr.o

Vvides forY a substantially uniform ,and equal distribution ofr strain on the respective ankles instead of analternatestrain on one anklefand thenon the other. j j

' The top sectionmay-be .removed or omitted if desiredibut'is preferably eine? ployed as illustrated. vrlhe resilientfsuprport lfor the vtop sections relative, to rotatien on th'e"aX1es-16 provides'for holdi'ag said top sectionstoga normaivpredetermined position, from which onej or yboth may .bel

oscillated by the application of force,to

limited extent in either' direction. The great variety'and combi-nation of move-` ments` ofthe tabletop sections jointly and separately are important in securing the desired exerciseand articulation of the seg@` ments of the spinal column,l and also the softer parts and organs influenced ,by such movements. The'v vertical adjustment of the table providesffor convenient application 'of force to secure the desired table movements 'and' differencesy in sizenand weightfof p atients.-

l The mechanism herein"illustratedl andde-L '1 rscribedis capable of'censiderable modifica#- tion without` departing from the principleVVV of my invention.

Having-` described my invention, whatfiI j pedestal vertically,.adjustable Relative to said base, and aV plurality of` table topfsec` tions eachpivotally 'and 4resiliently sup-` 12.Ag treatment table comprisinga Vsupported upon'andrelative to'said-pedestal." 1 1 porting pedestal 'and' a plurality of table top sections each pivotally and resiliently supported upon and'relative to said pedestal andv raving universal movement relative to said pedestal.

3. A treatment table comprising a pedestal and a plurality ot tabletop sections arranged end to end and eacli pivotally and resiliently supported relative to said pedestal.

fable vin a plurality et. different planes rela- Y` A ltreatment table comprising a pedestal, a plurality of table top sections-arrangedend'to end and eacli pivotally and resiliently supported relative to said pedes- 'tal and means to locl said top sections re-,l

ifidly to said pedestal.

spectively o. Atreatnient table comprising a pedes-Y tal, a plurality of table top sections each pivotally and resilently supported and movsection to said pedestal against movement in;

' either of Vits planes ot" movement.

7. A treatment table comprising a base, a pedestal verticallyy adjustable relative to said base, a plurality of table top sections arranged end to end and each pivotally and only;

.resiliently supported relative 'to saidpedestal, one ot said topsections being 'longitir dinarlly separated into segments. l l 8. A treatment table comprising a pedestal and a plurality oi. table top `sections arranged end to end and each pivotally and resiliently supported relative to said pedes` tal, one ot said top sections being longitudinally of the table divided into tivo separable segments. f Y 9. A treatment table comprising a pedestal,` an intermediate top section and tivo 'pivotally and resiliently supported top sections at .opposite ends ofgsaid intermediate top section.` Y* if Y v10. A-treatment table comprising a base,

a pedestal vertically adjustable relative to' said base, an intermediate top section, and two pivotally and resiliently supported top sections at opposite ends of said interino` diate top section. j

Y1l. VA treatment table Vcomprising a pedestal, an adjustable intermediate top` section. and tivo pivotally and resilientlv supported top sections' at opposite ends of said intermediate top section.

l2. A treatment'table comprising a pedestal, an intermediate' top section and tivo pivotally and resiliently supported top sections at opposite ends of saidinterniediate top section, 'oneot said pivotally supported top. sections being longitudinally of the tablek divided into tivo separable segments.

13. A treatment table comprising a main tol section, an intermediate top section and an auxiliary top section arranged end to end, said auxiliary top section separately` pivotally and resiliently supported upon a vertical axle, a transverse horizontal axle and a longitudinal axle. -V

lll. A treatment table coniprisiiiga main 'able top section, ano an auxiliary table top e tion pivotally supportedy upon an axle old said auxiliary top section in a predeerniined position relative to said axle.

l5. treatment table comprising a'base, a pedestal vertically adjustable relative to a inain table top section supported upon 'said pedestal, auxiliary table top section rotatably supported `relative to saidvpedestal upon an axle substan-V tially parallel to said auxiliary top section and longitudinally thereof, andmeans tore-y iliary top section in a siliently hold said auY predetermined positl n relative tosaid axle.

16. A treatment table comprising main table top section and an auxiliary tabletop section, said aux' -iaiy t p section being pivotally and resiliently supported relative to s. d iiain top section separately upon a vertical axle, a transverse horizontal axle and e, longitudinal axle substantially parallel to said. auxiliary top section, and uponivhich said auxilary top secton is adjustable end*-y ivise.

. main tabletop supported by said pedyes'ia ported relative to said pedestal upon an axle substantially parallelY to sa-idgauxiliary top sectionkand longitudinally thereof, means to resilientlyv hold said auxiliary top section in a predeterminedposition relative to said axle`,and means to rigidly loclrsaid auxiliary top section against rotation upon said axle. i Y f i 18. A treatment table comprising afmain table topse'ction and auxiliary table top section, 'said auxiliarytopsection being pivotally and resiliently supported relative to said main top section separatelyupon a ver-V tical axle, a transverse horizontal axle and a longitudinal axle substantially parallely to c y ubstantially parallel thereto and longitu-- :iiially tliereoi. and means to resiliently f A treatinent'table comprising a pedesan auxiliary table top rotatably''supA said auxiliary'top se'ction,'a:odv independent means to separately locl said auxiliary top section against rotary movement upon said i respective axles. Y

19. Atreatment table comprising mainv table top section, an auxiliary tabletop section' rotatably and resiliently supported relative to said main topsection, and means piv# otally attached at anintermediatefpoint to vio said auxiliary top section and at opposite ends of'wliich the ankles of a patient are' secured, to Vassist in equalizing the strain upon tlie respective ankles when said auxili- Y 'ary top section is oscillated. v

20. A treatment table comprising aV main 'table top section, an auxiliary table top'secf.v l tion rotatably and resiliently supported relative to said main top section, means to atl tacli the upper extremity of a patient to said main top section, and means pivotally at- 'f taclied at an intermediate point to said aux# iliary top section and to opposite ends 'of wliicli tlie lower extremities of a patient are 'j respectively secured, to assist in equalizing tli'e strain upon the lower extremities of tlie patient when said auxiliary top section is4v` oscillated.

2l. A treatment'table eomprisinga main. Vtalole top section andl an auxiliary table topf' section rotatably and resiliently supported relative to said main top section upon a substantially vertical axle, a substantiallyV vertical supporting axle, a segment Vcarried rigidly bysaid axle, means to engage said f segment to rigidly lock saidauxiliary top section against rotation upon said-axle at any desired position of adjustment.

' 22.y A treatment table comprising a main*- talole top section and an auxiliary table-top Y said auxiliary top section aga-inst rotation upon said longitudinal axle. Y i 23. In` a treatment table a table top section oscillatable upon a vertical axle and v upon an axle longitudinally of vand substantially parallel to said auxiliary top section, means to resiliently support saidv auxiliary vanother of said axles. ,l j y Y table a'table top sec-1' top section Yin a predetermined position relativeto said longitudinal-axle, means to lock `said auxiliary top section against rotation upon said longitudinal axle, and means to Y adjustsaid locking means to provide for Vwear'andto prevent vibration of said auxil1-.

ary top section relative to said longitudinal j axle while being oscillated upon saidvertical axle. v

24. In a treatment table a table top section oscillatable upon a substantially vertical axle, atransverse substantially'horizontal axle, anl an axle longitudinally of and substantially parallelto said auxiliary top section, means ktolock said auxiliary top secy said respective axles, means to resiliently tion independently against rotation upon support said top section in predetermined position relative to said respective axles, and

means 'to adjust one of said locking means to provide tor wear andto prevent vibra- "tion of' said auxiliary top section Arelative to one of said axles while being oscillated upon j' 25. In a treatment tion oscillatable vupon a substantially. verticalaxle and upon an axle. longitudinally of. and substantially parallel to saidfauxiliary`v top section, an adjusting screw to adjust said auxiliary top'v section upon said'longitudinal axle-relative to said vertical axle,means to resiliently support, said auxiliary top section in a predetermined position relative' to said verticalaxle, and means to retain saidvr adjusting vscrew in its adjusted positiony against displacementdue to the oscillatory movement of'said auxiliary top section andil its adjusting screw. f f' Inl testimony whereof I have aliixedimy vsignature in tlie presence'of two witnesses.

j JOHN lV. MOMANIS'.

Witnesses: 5 v .j FRANK L., Bresisir,`

LouisE. BiiowNE. 

